Get Immunization Form - Gonzaga University - Gonzaga

Filling out the Immunization Form for Gonzaga University is a crucial step in ensuring that you meet the university's health requirements. This guide provides clear, step-by-step instructions to help you accurately complete the form online, ensuring a smooth registration process.

Follow the steps to successfully complete your immunization form.

1. Click the ‘Get Form’ button to access the Immunization Form and open it for editing.
2. Begin by entering your last name, first name, and middle initial as indicated on the form. Ensure you provide correct spellings for accurate processing.
3. Fill in your permanent address, including street address or PO, city, state, and zip code. This information is essential for communication regarding your health status.
4. Provide your phone number and date of birth. These details help the university verify your identity and manage your immunization records.
5. Input your Gonzaga University ID number, which is critical for linking your immunization records to your student profile.
6. Indicate when you plan to begin classes by circling one of the options: Fall Semester, Spring Semester, or Summer Session, along with the appropriate school year.
7. Review the requirements for measles immunity, and fill in one of the options regarding proof of immunity based on your vaccination history, disease diagnosis, or medical exemption. Complete all required fields accurately.
8. If applicable, ensure that your health care provider’s signature is included, or attach your immunization documentation as required. This step is crucial for confirming your immunity status.
9. Complete the remaining sections relating to meningococcal immunization information and insurance details. Don't forget to include a copy of the front and back of your insurance card if you have health insurance.
10. Fill in emergency contact information and any additional relevant health details, such as allergies or chronic health issues. This ensures that the Health Center has all necessary information in case of emergencies.
11. Once you have filled in all sections, carefully review your entries for accuracy. You may then save the document, download it for your records, and print a copy for submission.
12. Return a copy of the filled form along with any required documentation to the Gonzaga University Health Center as detailed in the form.

Complete your Immunization Form online today and ensure your registration process at Gonzaga University is smooth.